2025-05-13T10:40:15-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-07-01 810233499 SIDNEY HEALTH CENTER SIDN 4064882100 216 14TH AVENUE SW SIDNEY MT 59270 TINA MONTGOMERY CFO 4064882100 2025-05-12 1 1 KURT BENNION CPA P01469618 4252506100 2025-05-06 2023 2025-03-06 01:10:19Z JEN DOTY 216 14TH AVENUE SW SIDNEY MT 59270 123628600 0 X WWW.SIDNEYHEALTH.ORG X 1946 MT TO HELP THOSE WE SERVE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH BY PROVIDING QUALITY MEDICAL CARE. 10 9 677 128 2211597 534582 756153 3033295 99789025 114515101 1329030 2654029 1077020 1134042 102951228 121336467 35498 1910021 0 0 41754755 45572363 0 0 410590 60312451 63794694 102102704 111277078 848524 10059389 98690761 104554765 31032626 26445146 67658135 78109619 X TO HELP THOSE WE SERVE ACHIEVE THEIR HIGHEST LEVEL OF HEALTH AND WELL-BEING. 1 0 100435351 1910021 111748570 SIDNEY HEALTH CENTER IS A NOT-FOR-PROFIT COMMUNITY-BASED MEDICAL CENTER THAT HAS BEEN SERVING PEOPLE IN THE MONDAK REGION FOR MORE THAN 100 YEARS. OUR PASSION FOR CARING IS SHARED BY THE DOCTORS, NURSES, AND SEVERAL HUNDRED EMPLOYEES AND VOLUNTEERS. THIS COMMITMENT TO CARING IS OUR ALLEGIANCE TO THE COMMUNITY AS WE STRIVE TO PROVIDE "EXCEPTIONAL CARE FOR LIFE."LOCATED IN THE HEART OF RICHLAND COUNTY, THE ATTRACTIVE EASTERN MONTANA CAMPUS INCLUDES AN ACUTE CARE HOSPITAL, CLINIC, CANCER CARE, RETAIL PHARMACY AND AN EXTENDED CARE FACILITY OFFERING A COMPLETE RANGE OF SERVICES FROM BIRTH THROUGH END-OF-LIFE, WHICH IS COMPLEMENTED BY AN ARRAY OF OUTREACH SERVICES. THIS CONTINUUM OR SUCCESSION OF SERVICES IS NOT TYPICAL OF RURAL HEALTHCARE ORGANIZATIONS, BUT SIDNEY HEALTH CENTER IS NOT TYPICAL. A STRONG COMPLEMENT OF PRIMARY CARE PHYSICIANS AND A UNIQUE SELECTION OF SURGICAL SPECIALISTS, COMBINED WITH A MODERN FACILITY AND UP-TO-DATE MEDICAL EQUIPMENT, MAKES SIDNEY HEALTH CENTER A SPECIAL PLACE TO WORK, RECEIVE CARE AND PRACTICE MEDICINE.SIDNEY HEALTH CENTER ALSO PROVIDES VARIOUS COMMUNITY BENEFIT PROGRAMS FOR THE INDIVIDUALS IN OUR SERVICE REGION.RICHLAND COUNTY TRANSPORTATION - THIS PROGRAM GIVES OPPORTUNITIES FOR THOSE WHO CANNOT DRIVE THE OPTION OF A RIDE. SIDNEY HEALTH CENTER PROVIDES A DRIVER AND HELPS PAY FOR BUSSES. SINCE ITS CONCEPTION, WE HAVE GONE FROM ONE BUS AND ONE DRIVER FOR THE FULL PROGRAM TO MULTIPLE BUSSES AND DRIVERS. WE WORK WITH THE HEALTH DEPARTMENT, RICHLAND COUNTY AND THE LODGE.MILES CITY NURSING PROGRAM - WE PROVIDE THE FACILITY AND PROGRAM COSTS TO HAVE MILES CITY COMMUNITY COLLEGE RUN A SATELLITE SCHOOL HERE IN SIDNEY. THIS PROMOTES NURSING AS A PROFESSION AND KEEPS THOSE WHO ARE INTERESTED IN OUR COMMUNITY AS POSSIBLE EMPLOYEES LATER.OUTREACH CLINIC - SOME OF THE OUTLYING COMMUNITIES DO NOT HAVE ACCESS TO SPECIALTY SERVICES. SIDNEY HEALTH CENTER SENDS PROVIDERS TO THESE NEIGHBORING COMMUNITIES SO PATIENTS DO NOT HAVE TO TRAVEL. SHC ALSO HOSTS SPECIALISTS FROM LARGER FACILITIES TO OFFER QUALITY AND CONVENIENT CARE WE ARE UNABLE TO PROVIDE TO PATIENTS IN AND AROUND RICHLAND COUNTY.HEALTH SCREENINGS, EDUCATION AND MAINTENANCE SIDNEY HEALTH CENTER SUPPORTS A VARIETY OF EVENTS WHERE OUR COMMUNITY CAN BE EDUCATION ON HEALTH ISSUES. OUR CANCER CENTER SPONSORS THE "TOUGH ENOUGH TO WEAR PINK" DAY THE COUNTY FAIR; SUPPORTS "PINK NIGHTS" AT AREA SCHOOLS FOR VOLLEYBALL AND FOOTBALL DURING THE MONTH OF OCTOBER; AND HOLDS ANNUAL MENS HEALTH SCREENINGS. THE MENS SCREENING PROVIDES FREE PSA TESTS AND DRE EXAMS. IN OCTOBER, THE RADIOLOGY DEPARTMENT EXTENDS ITS HOURS TO OFFER MAMMOGRAMS A FEW EVENINGS DURING THE MONTH. SIDNEY HEALTH CENTER PROMOTES PREVENTATIVE CARE, DIABETES EDUCATION, LAB SCREENINGS AND MANY OTHER TOPICS. SIDNEY HEALTH CENTER OFTEN PARTNERS WITH THE RICHLAND COUNTY HEALTH DEPARTMENT, COALITION ON AGING, FIRE, POLICE AND MENTAL HEALTH PROFESSIONS, JUST TO NAME A FEW. SIDNEY HEALTH CENTER ALSO PARTICIPATES IN SUPPORTIVE HEALTH MAINTENANCE GROUPS, INCLUDING COMMUNITIES IN ACTION GROUPS.RICHLAND COUNTY FAIR & RODEO - SIDNEY HEALTH CENTER IS THE DAY SPONSOR AT THE COUNTY FAIR (DAILY ATTENDANCE OF AROUND 5,000), WHERE PEOPLE CAN HAVE THEIR BLOOD PRESSURE CHECKED AND RECEIVE A FREE COLD LEMONADE OR WATER DURING THE HOT AUGUST FAIR.GRIEF RECOVERY SUPPORT GROUPS - SIDNEY HEALTH CENTER ASSISTS INDIVIDUALS IN CONNECTING WITH LOCAL BEREAVEMENT SUPPORT GROUPS AND INDIVIDUAL COUNSELING AS REQUESTED OR WHEN A NEED IS IDENTIFIED. IN ADDITION, THE HOSPITAL'S BEREAVEMENT PROGRAM PROVIDES FAMILIES WITH MATERIALS AND RESOURCES FOLLOWING THE LOSS OF A LOVED ONE WHO RECEIVED CARE IN OUR FACILITY. BIRTHDAY HEALTH FAIR - PATIENTS WHO SIGN UP CAN GET AN ANNUAL HEALTH SCREEN AT A DISCOUNTED RATE DURING THEIR BIRTHDAY MONTH. THE LAB SCREENING INCLUDES A CHEMISTRY PANEL THAT EVALUATES KIDNEY AND LIVER FUNCTION, BLOOD SUGAR AND ELECTROLYES, A BLOOD COUNT WITH IDENTIFIES ANEMIA OR INFECTION AS WELL AS LIPIS (CHOLESTROL) PANEL.VISITING NURSE SERVICE - INITIAL NURSE VISIT AND POST DISCHARGE MEDICATION RECONCILIATION ALONG WITH ONGOING MEDICATION SETUPS TO THOSE IN NEED.MEDICATION ASSISTANCE THE MEDICATION ASSISTANCE PROGRAM OFFERS A 30-DAY SUPPLY OF SOME MEDICATIONS PRESCRIBED BY SIDNEY HEALTH CENTER PHYSICIANS AND ADVANCED PRACTICE PROVIDERS FREE OF CHARGE TO THOSE WHO QUALIFY. THIS PROGRAM WORKS WITH PATIENTS WHO ARE UNINSURED OR UNDERINSURED TO SECURE ONGOING COVERAGE FOR MEDICATIONS. THE PROGRAM WAS EXPANDED IN 2020 TO INCLUDE THE LIFELINE SERVICES FOR THOSE WHO FIT WITHIN THE 200% FPG. RX BOXES - PHARMACY SETS UP PILLS IN MEDICATION BOXES SO THAT GROUP HOME RESIDENTS GET THE CORRECT PILLS FOR EACH ADMINISTRATION TIME.CHAMBER OF COMMERCE - VARIOUS DONATIONS FOR COMMUNITY AND CHAMBER FUNCTIONS.CHILDBIRTH CLASSES - CLASSES OFFERED ON A QUARTERLY BASIS TO THE COMMUNITY.INTERACTIVE TOUR FOR ELEMENTARY STUDENTS - AS REQUESTED, LOCAL ELEMENTARY CLASSES PARTICIPATE IN INTERACTIVE STATIONS THAT ARE HOSTED BY VARIOUS SIDNEY HEALTH CENTER DEPARTMENTS.REACH TOUR - EVERY OTHER YEAR, SIDNEY HEALTH CENTER HOSTS R.E.A.C.H. (RESEARCH AND EXPLORE AWESOME CAREERS IN HEALTHCARE) TOUR THROUGH AHEC FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTHCARE CAREERS. STUDENTS SPEND THE DAY AT SIDNEY HEALTH CENTER PARTICIPATING IN INTERACTIVE DEMONSTRATIONS, VISITING WITH HEALTHCARE PROFESSIONALS AND MORE.FITNESS CENTER - SIDNEY HEALTH CENTER PARTNERED WITH HEALTHWORKS FITNESS CENTER TO SUBSIDIZE MEMBERSHIPS TO LOW INCOME INDIVIDUALS WITH DOCTOR ORDERED FITNESS REGIMENS.COVID-19 VACCINATION CLINICS - SIDNEY HEALTH CENTER PARTNERS WITH THE RICHLAND COUNTY HEALTH DEPARTMENT TO VACCINATE INDIVIDUALS AGAINST COVID-19 ACCORDING THE STATE DISTRIBUTION PLAN. COVID-19 DRIVE-THRU TESTING SIDNEY HEALTH CENTER OFFERS FREE COVID-19 TESTS TO SYMPTOMATIC INDIVIDUALS MONDAY THROUGH FRIDAY BY APPOINTMENT. TEST RESULTS ARE SHARED VIA MY CHART WITHIN A FEW HOURS. 1130838 0 854934 SIDNEY HEALTH CENTER CARE FLIGHT OFFERS HIGH QUALITY, AFFORDABLE, AIR MEDICAL TRANSPORTATION FOR PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE THAT IS NOT PROVIDED LOCALLY. APPROXIMATELY 24 PATIENTS ARE FLOWN OUT EACH MONTH FOR CRITICAL MEDICAL CONDITIONS INCLUDING HEART, STROKE, TRAUMA AND PEDIATRIC NEEDS. 101566189 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 137 0 1 677 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 X TINA MONTGOMERY CFO 4064882117 216 14TH AVE SW SIDNEY MT 59270 RAJOHN KARANJAI MD TRUSTEE/CMO 39.00 1.00 X 1299401 0 0 LESZEK JASZCZAK MD FORMER TRUSTEE/CMO 39.00 1.00 X 652328 0 33438 ERIC SIGMOND MD PHYSICIAN 35.00 0.00 X 604296 0 46215 MALUA TAMBI MD CHIEF OF MEDICAL STAFF 39.00 1.00 X X 560346 0 45532 JEROME KESSLER MD PHYSICIAN 40.00 0.00 X 567048 0 37338 JOHN MORGAN MD PHYSICIAN 35.00 0.00 X 576842 0 14308 PETER DEVEAUX MD PHYSICIAN 40.00 0.00 X 538051 0 48582 CHAD PEDERSON MD PHYSICIAN 40.00 0.00 X 499733 0 27069 HERVE NGUEWOUN MD VICE CHIEF OF STAFF 40.00 1.00 X 506522 0 11849 JEN DOTY CEO 39.00 1.00 X 328744 0 34809 TINA MONTGOMERY CFO 39.00 1.00 X 200379 0 26425 ROBERT BURNISON PRESIDENT 1.00 1.00 X X 0 0 0 LANCE AVERETT VICE PRESIDENT 1.00 1.00 X X 0 0 0 REBECCA BRADLEY SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 ERIC BEENKEN TRUSTEE 1.00 1.00 X 0 0 0 SUSAN DUFFEY TRUSTEE 1.00 1.00 X 0 0 0 RANDY JOHNSON TRUSTEE 1.00 1.00 X 0 0 0 STEPHANIE LIVERS TRUSTEE 1.00 1.00 X 0 0 0 CHERYL VANEVERY TRUSTEE 1.00 1.00 X 0 0 0 MIKE WEBER TRUSTEE 1.00 1.00 X 0 0 0 6333690 0 325565 70 1 1 0 BRETT BENNION 214 14TH AVE SW SIDNEY MT 59270 MEDICAL PROVIDER 2592061 MEDIKAR PC 1398 14TH ST SW SIDNEY MT 59270 MEDICAL PROVIDER 1299401 ROBERT ANDREWS 815 W E ST APT 1 BASIN WY 82410 MEDICAL PROVIDER 465680 DEBORAH HARRIS PO BOX 164 ALFORD FL 32420 MEDICAL PROVIDER 405565 MCCARTNEY TANNER MEDICAL SERVICES 1153 BERGEN PKY STE I-409 EVERGREEN CO 80439 MEDICAL PROVIDER 385995 19 2602167 431128 3033295 PATIENT REVENUES 621500 102300403 102300403 CLINIC PHARMACY 456110 9922657 8195062 1727595 OTHER PATIENT CARE 621500 1700850 1700850 JOINT VENTURE 900002 591191 407189 184002 114515101 950562 950562 5968 5968 300000 0 300000 300000 300000 2940005 500000 1729422 7116 1210583 492884 1703467 1703467 595306 555595 39711 39711 MEAL INCOME 900099 408632 408632 MISCELLANEOUS REVENUE 900099 379731 379731 788363 121336467 112603504 2211597 3488071 X 23590 23590 1886431 1886431 2198369 1666507 483709 48153 34849846 32320035 2351256 178555 700341 641775 53788 4778 5349842 4845673 456056 48113 2473965 2263204 194545 16216 41716 41716 169347 23822 144525 1000 138731 138731 22612752 20578207 2006751 27794 720651 445340 257429 17882 3366600 2596573 736597 33430 934368 955 933413 984154 970895 6108 7151 663533 638311 24951 271 507715 482051 25664 4772356 4471343 281031 19982 1477946 1477946 UBI TAXES 30271 30271 PHARMACY/LAB EXPENSE 20797893 20797850 43 BAD DEBT 3326663 3326663 OTHER EXPENSES 2814722 1643471 1163986 7265 435276 435276 111277078 101566189 9300299 410590 11678011 9356736 14569 16856 17085684 22588815 2799612 3529926 1347566 1224544 94291664 60030949 34498642 34260715 25758903 29224648 939164 744559 2022868 1472512 2545742 2135454 98690761 104554765 9045216 7745768 800000 600000 16792702 15112366 14569 16856 1450394 2929745 2970156 31032626 26445146 X 66446585 77700494 1211550 409125 67658135 78109619 98690761 104554765 X 10059389 1421070 -1028975 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6819 6819 0 PART II-B, LINE 1: A PORTION OF THE MEMBERSHIP DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION AND LEADINGAGE ARE USED FOR LOBBYING. THESE ARE ALLOCATED ON A PERCENTAGE BASIS TO LOBBYING ACTIVITIES. 0 1 X 268261 268261 60974042 37985856 22988186 2006116 1265083 741033 30920305 20780010 10140295 122940 122940 34260715 ESTIMATED THIRD-PARTY PAYOR PAYABLES 2262189 OPERATING LEASE LIABILITY 185716 FINANCING LEASE LIABILITY 522251 2970156 X 119046170 1421070 1873941 3295011 115751159 138731 5446577 5585308 121336467 107812834 1887581 1887581 105925253 138731 5213094 5351825 111277078 PART IV, LINE 2B: RESIDENT TRUST ACCOUNT: THIS IS THE EXTENDED CARE RESIDENT TRUST ACCOUNT, WHICH IS MADE UP OF THE RESIDENTS' MONEY THAT SIDNEY HEALTH CENTER HOLDS ON THEIR BEHALF. THESE MONIES ARE KEPT IN A SEPARATE BANK ACCOUNT FROM THE ORGANIZATION'S FUNDS AND ARE DUE BACK TO THE RESIDENTS UPON LEAVING THE FACILITY. PART X, LINE 2: THE IRS HAS DETERMINED THAT THE HEALTH CENTER IS A TAX-EXEMPT, NONPROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE IRC. THE HEALTH CENTER FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE HEALTH CENTER'S FINANCIAL STATEMENTS. THE HEALTH CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 555,595. LONE TREE REVENUE PER CONSOLIDATED AFS 1,537,666. LONE TREE ELIMINATIONS PER CONSOLIDATED AFS -219,320. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 3,326,663. CHARITY CARE 1,886,431. CHANGE IN VALUE OF FAIR VALUE SWAP 233,483. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 555,595. LONE TREE EXPENSES PER CONSOLIDATED AFS 1,551,306. LONE TREE ELIMINATIONS PER CONSOLIDATED AFS -219,320. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 3,326,663. CHARITY CARE 1,886,431. 1 1 X 1 X 1 X 1 1 0 1 1 773929 773929 0.00720 14608047 15742009 0 0.00000 15381976 15742009 773929 0.00720 143892 143892 0.00130 20800 20800 0.00020 29258033 15952621 13305412 0.12330 29422725 15952621 13470104 0.12480 44804701 31694630 14244033 0.13200 0 3326663 0 22219700 22313859 -94159 X 1 1 1 1 SIDNEY HEALTH CENTER 216 14TH AVENUE SW SIDNEY MT 59270 WWW.SIDNEYHEALTH.ORG 12709 X X X X SIDNEY HEALTH CENTER 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V, SECTION C X X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 1 1 X X X X 1 X WWW.SIDNEYHEALTH.ORG/BILLING X WWW.SIDNEYHEALTH.ORG/BILLING X WWW.SIDNEYHEALTH.ORG/BILLING X X X X X X 1 X 0 X X X X 1 X 0 0 SIDNEY HEALTH CENTER PART V, SECTION B, LINE 5: IN MARCH 2022, SURVEYS WERE MAILED OUT TO A RANDOM SAMPLE OF 800 RESIDENTS OF RICHLAND COUNTY, MONTANA, THE HOSPITAL'S COMMUNITY. 65 COMPLETED SURVEYS WERE RETURNED. IN ADDITION, 3 FOCUS GROUP INTERVIEWS WERE CONDUCTED. SIDNEY HEALTH CENTER PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH THE MONTANA OFFICE OF RURAL HEALTH. SIDNEY HEALTH CENTER PART V, SECTION B, LINE 7D: THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.SIDNEYHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-ASSESSMENT-IMPLEMENTATION-PLAN. SIDNEY HEALTH CENTER PART V, SECTION B, LINE 11: SIDNEY HEALTH CENTER (SHC) IS DEDICATED TO ENHANCING THE HEALTH AND WELL-BEING OF RICHLAND COUNTY AND ITS NEIGHBORING COMMUNITIES. THIS REPORT SUMMARIZES THE PROGRESS MADE DURING FISCAL YEAR 2024 (JULY 1, 2023, THROUGH JUNE 30, 2024) TOWARD THE GOALS ESTABLISHED IN THE 2022-2025 COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN, FOCUSING ON HEALTHCARE ACCESS, BEHAVIORAL HEALTH, AND COMMUNITY ENGAGEMENT.GOAL 1: ENHANCE ACCESS TO HEALTHCARE SERVICES PRIMARY AND SPECIALTY CARE EXPANSIONIN FY2024, SHC RECRUITED ADDITIONAL MEDICAL PROVIDERS, INCLUDING:O CHLOE SENN, FNP JOINED THE TELEUROLOGY AND SAME-DAY CLINIC. THE ADDITION OF TELEUROLOGY EXPANDED TELEHEALTH SERVICES, IMPROVING ACCESS TO SPECIALTY CARE.O AMIE SCHILLINGER, PA-C BEGAN SERVING IN THE ORTHOPEDIC CLINIC, ENSURING TIMELY AND PERSONALIZED TREATMENT FOR MUSCULOSKELETAL CONDITIONS.O DR. AARON FRANKE JOINED THE CANCER CARE TEAM IN AUGUST 2023 AS A LOCUM PHYSICIAN, ADDING A SECOND MEDICAL ONCOLOGIST AS WELL AS A FAMILY NURSE PRACTITIONER TO ACCOMMODATE NEW PATIENTS AND SURVIVOR CHECK-UPS. THIS EXPANSION RESULTED IN 735 MORE CANCER CARE CLINIC VISITS AND TREATMENTS COMPARED TO FY2023.O THE SAME-DAY CLINIC'S EXPANDED AVAILABILITY LED TO 1,331 MORE APPOINTMENTS IN FY2024 THAN THE PREVIOUS YEAR, REDUCING WAIT TIMES AND INCREASING PATIENT ACCESS. EMERGENCY DEPARTMENT RENOVATIONIN OCTOBER 2023, SHC COMPLETED A $4.8 MILLION RENOVATION OF THE EMERGENCY DEPARTMENT. KEY FEATURES INCLUDED A REDESIGNED LAYOUT FOR EFFICIENT PATIENT FLOW, LARGER ROOMS WITH ENHANCED PRIVACY MEASURES, AND STATE-OF-THE-ART INFECTIOUS DISEASE PROTECTIONS. THESE IMPROVEMENTS SUPPORT BETTER PATIENT CARE AND SAFETY, ACCOMMODATING OVER 6,000 PATIENTS TREATED IN FY2024. PREVENTIVE SERVICES ACCESSSHC INCREASED COMMUNITY ACCESS TO PREVENTIVE SERVICES:O MEN'S HEALTH SCREENING (MARCH 2024): 33 MEN PARTICIPATED, INCLUDING 16 RETURNING CLIENTS AND 17 NEW PARTICIPANTS. FOLLOW-UPS INCLUDED FIVE SCHEDULED COLONOSCOPIES AND SEVEN FIT KITS FOR COLORECTAL CANCER SCREENING.O SUN BUS SCREENING (AUGUST 2024): IN PARTNERSHIP WITH THE RICHLAND COUNTY HEALTH DEPARTMENT AND FOUNDATION FOR COMMUNITY CARE, SHC HOSTED A TWO-DAY EVENT PROVIDING FREE SKIN SCREENINGS FOR 98 PARTICIPANTS, WITH 35 REFERRED FOR FURTHER EVALUATION. SHC ALSO SPONSORED THE EVENT WITH A $2,000 CONTRIBUTION.GOAL 2: STRENGTHEN BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH INTEGRATIONSHC REFINED ITS BEHAVIORAL HEALTH INTEGRATION WITHIN PRIMARY CARE, IMPROVING MENTAL HEALTH SCREENING AND REFERRAL PROCESSES. TELEHEALTH PSYCHIATRY SERVICESTELEHEALTH REMAINED CRUCIAL FOR PROVIDING PSYCHIATRIC CARE. PARTNERSHIPS WITH INTERMOUNTAIN HEALTHCARE AND ARRAY BEHAVIORAL HEALTH ENABLED 24/7 CRISIS EVALUATIONS IN THE ER, ADDRESSING CONDITIONS LIKE SEVERE DEPRESSION, ANXIETY, AND SUBSTANCE-RELATED CRISES. COMMUNITY EDUCATION AND TRAININGSHC SUPPORTED BEHAVIORAL HEALTH EDUCATION, INCLUDING QPR (QUESTION, PERSUADE, AND REFER) TRAINING FOR SUICIDE PREVENTION. THE TRAINING, INTRODUCED IN APRIL 2024, BECAME A QUARTERLY OFFERING, WITH 345 EMPLOYEES TRAINED TO RECOGNIZE AND RESPOND TO MENTAL HEALTH CRISES.GOAL 3: ENHANCE COMMUNITY ENGAGEMENT AND COLLABORATION COMMUNITY PARTNERSHIPSSHC STAFF ACTIVELY PARTICIPATED IN LOCAL COALITIONS, INCLUDING THOSE FOR CHRONIC DISEASE MANAGEMENT, CANCER PREVENTION, AND INJURY PREVENTION. THE HOME AND COMMUNITY CARE SERVICES CONTINUED TO COLLABORATE WITH ST. JOHN'S UNITED TO EXPAND SENIOR HOME-BASED SERVICES. HEALTH EDUCATION OUTREACHSHC CONDUCTED MULTIPLE OUTREACH EVENTS ON TOPICS SUCH AS MEDICARE, MEDICAID, AND FINANCIAL ASSISTANCE. DIABETES EDUCATION SERVICES WERE REINTRODUCED IN NOVEMBER 2023, OFFERING INDIVIDUALIZED EDUCATION AND SUPPORT TO HELP PATIENTS MANAGE THEIR DIABETES. THE PROGRAM'S GOAL IS TO LOWER PATIENTS' A1C LEVELS AND IMPROVE OVERALL HEALTH. PATIENT AND FAMILY ADVISORY COUNCIL (PFAC)THE PFAC, ESTABLISHED IN FY2022, IMPROVED SHC'S RESPONSIVENESS TO COMMUNITY NEEDS. BI-MONTHLY MEETINGS ALLOWED MEMBERS TO REVIEW MATERIALS, PROVIDE FACILITY FEEDBACK, AND MEET WITH DEPARTMENT LEADERS TO ADDRESS ANY QUESTIONS AND CONCERNS.OUTCOMES AND IMPACT INCREASED UTILIZATION OF SERVICESSIGNIFICANT INCREASES WERE SEEN IN PRIMARY AND SPECIALTY CARE VISITS, PREVENTIVE SCREENINGS, AND WELLNESS PROGRAM PARTICIPATION. IMPROVED HEALTH OUTCOMESPOSITIVE TRENDS EMERGED IN METRICS SUCH AS ER SATISFACTION, WHILE THE USE OF TELEHEALTH PSYCHIATRY EXCEEDED PROJECTIONS. COMMUNITY SATISFACTION SCORES CLINIC SERVICES IMPROVED AS INDICATED WITH THE ADDITION OF TEXT ENABLED SURVEYS; GOING FROM AN AVERAGE 3-STAR RATING TO A 4.8 STAR RATING ON GOOGLE REVIEWS. ENHANCED COMMUNITY AWARENESSSURVEY DATA INDICATED AN INCREASE IN COMMUNITY KNOWLEDGE OF AVAILABLE HEALTHCARE SERVICES, REFLECTING THE SUCCESS OF SHC'S ONGOING EDUCATION AND OUTREACH EFFORTS.LOOKING FORWARDIN FISCAL YEAR 2025, SHC WILL CONTINUE TO PRIORITIZE IMPROVEMENTS IN HEALTHCARE ACCESS, BEHAVIORAL HEALTH INTEGRATION, AND COMMUNITY ENGAGEMENT TO MEET THE EVOLVING HEALTH NEEDS OF THE REGION. 2 1 - SIDNEY HEALTH CENTER EXTENDED CARE 216 14TH AVE SW SIDNEY MT 59270 NURSING HOME 2 - THE LODGE AT LONE TREE 1015 7TH AVE SW SIDNEY MT 59270 ASSISTED LIVING COMPLEX PART I, LINE 3C: FINANCIAL ASSISTANCE IS BASED ON INCOME AND FAMILY SIZE ONLY. PRIOR TO QUALIFYING FOR FINANCIAL ASSISTANCE, AN INDIVIDUAL MUST (A) RECEIVE QUALIFYING MEDICAL SERVICES FROM SIDNEY HEALTH CENTER; (B) EXHAUST ALL ALTERNATIVE PAYMENT RESOURCES INCLUDING THIRD-PARTY AND FEDERAL AND STATE PROGRAMS; AND (C) SUBMIT A COMPLETED APPLICATION WITH THE REQUIRED SUPPORTING DOCUMENTATION. PART I, LINE 7: IN ORDER TO CALCULATE THE OVERALL HOSPITAL'S COST TO CHARGE RATIO USED FOR PART I, LINE 7, THE HOSPITAL FIRST DETERMINED A COST-TO-CHARGE RATIO BASED ON THE JUNE 30, 2024 FILED MEDICARE COST REPORT SEPARATELY FOR INPATIENT SERVICES, OUTPATIENT SERVICES, AND TOTAL SERVICES. TO CALCULATE THE COSTS INCLUDED ON LINES 7A AND 7B, THE HOSPITAL TOOK EACH OF THE SEPARATE COST-TO-CHARGE RATIOS DESCRIBED IN THE PRECEEDING PARAGRAPH AND APPLIED THEM ONLY TO THE RELATED CHARGES BY SERVICE TYPE. THE AMOUNTS IN LINES 7E-7I ARE BASED ON ACTUAL COST. PART I, LINE 7G: THE FOLLOWING SUBSIDIZED HEALTH SERVICES WERE INCLUDED IN PART I, LINE 7G:OBSERVATION, NURSERY, SPEECH PATHOLOGY, AUDIOLOGY, CARDIAC REHAB, MEDICAL ONCOLOGY, CLINIC FACILITY, EMERGENCY ROOM, AMBULANCE SERVICES, ENT/RADIOLOGY/ONCOLOGY CLINIC, AND PROVIDER-BASED CLINIC. $19,601,034 OF COMMUNITY BENEFIT EXPENSES AND $10,759,194 OF DIRECT OFFSETTING REVENUES WERE ATTRIBUTABLE TO CLINICS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,326,663. PART III, LINE 2: IN EVALUATING THE COLLECTABILITY OF PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, THE HEALTH CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH CENTER RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE. PART III, LINE 3: THE HEALTH CENTER IS UNABLE TO ESTIMATE THE AMOUNT OF ITS BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE IF THEY WERE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPH IN NOTE 1 (PAGE 12) OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6 IS DERIVED FROM USING THE JUNE 30, 2024 FILED MEDICARE COST REPORT. THE SHORTFALL OCCURS DUE TO VARIOUS EXPENSES INCURRED BY THE FACILITY WHICH ARE CONSIDERED NON-REIMBURSABLE BY MEDICARE. SINCE PART OF THE COSTS ARE NOT REIMBURSED, IT IS ONLY PRUDENT TO CONSIDER THIS SHORTFALL TO BE A BENEFIT TO THE COMMUNITY. PART III, LINE 9B: IF THE PATIENT INDICATES THEIR INABILITY TO PAY ACCORDING TO THE HOSPITAL CREDIT TERMS THEY WILL BE ASKED TO FILL OUT A FINANCIAL STATEMENT. THE HOSPITAL MAY PULL A CREDIT REPORT TO CONFIRM OR SUPPLEMENT INFORMATION PROVIDED TO THE HOSPITAL ON THE FINANCIAL STATEMENT. THE PATIENT CAN THEN BE EVALUATED TO DETERMINE WHETHER THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR AN EXTENDED PAYMENT PROGRAM.IF THE FINANCIAL STATEMENT SHOWS THAT THE PATIENT HAS ASSETS OR POTENTIAL SOURCES OF INCOME THAT WOULD ENABLE THEM TO PAY THE HOSPITAL BILL WITHIN A YEAR, THEY WILL BE DENIED THE EXTENDED PAYMENT WAIVER. IF A PATIENT REFUSES TO FURNISH A COMPLETED FINANCIAL STATEMENT, THEIR ACCOUNT WILL BE DEEMED DELINQUENT AND FURTHER COLLECTION ACTION WILL BE TAKEN. PRIOR TO ADMISSION, AT THE TIME OF ADMISSION, OR AS SOON AS POSSIBLE THEREAFTER, THE HOSPITAL WILL MAKE AN INITIAL ASSESSMENT OF POTENTIAL ELIGIBILITY BASED ON THE VERBAL APPLICATION FOR FINANCIAL ASSISTANCE. IF POTENTIAL ASSISTANCE IS INDICATED WITH INITIAL ASSESSMENT, THE HOSPITAL WILL NOT INITIATE COLLECTION EFFORTS OR REQUESTS FOR DEPOSITS PENDING THE RECEIPT OF THE COMPLETED APPLICATION AND FINAL ELIGIBILITY DETERMINATION. THE RESPONSIBLE PARTY MUST BE COOPERATIVE WITH THE HOSPITAL'S EFFORTS TO REACH A DETERMINATION OF ELIGIBILITY WITH OTHER ASSISTANCE PROGRAMS AND TO VALIDATE THE INFORMATION NEEDED.SIDNEY HEALTH CENTER WILL MAKE A CONCERTED EFFORT TO COMMUNICATE THE AVAILABILITY OF CHARITY CARE. EDUCATIONAL MATERIALS ABOUT THE PROGRAM WILL BE AVAILABLE TO PATIENTS THROUGH THE ADMISSIONS PROCESS. AS SOON AS A PATIENT EVIDENCES INABILITY TO PAY HE OR SHE WILL BE REFERRED TO THE PATIENT FINANCIAL SERVICES COUNSELOR FOR AN APPLICATION. APPLICATIONS ARE ALSO AVAILABLE AT THE ADMISSIONS AREA, AND THROUGH SOCIAL SERVICES. PART VI, LINE 2: THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN THE YEAR ENDED JUNE 30, 2022. THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ONLINE AT HTTPS://WWW.SIDNEYHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-ASSESSMENT-IMPLEMENTATION-PLAN. PART VI, LINE 3: SIDNEY HEALTH CENTER HAS NOTICES LOCATED AT THE ADMISSIONS OFFICE INFORMING PATIENTS ABOUT THEIR FINANCIAL ASSISTANCE POLICY. THE PROGRAM IS ALSO STATED ON THE ORGANIZATION'S WEBSITE AND INCLUDED IN THE PATIENT'S PACKET UPON DISCHARGE FROM THE FACILITY. PART VI, LINE 4: LOCATED IN THE HEART OF RICHLAND COUNTY, SIDNEY HEALTH CENTER SERVES PEOPLE IN ALL OF THE MONDAK REGION. PART VI, LINE 5: THE HEALTH CENTER DEFINES AND MEASURES THEIR INVESTMENT IN AND PARTNERSHIP WITH THE COMMUNITY PRIMARILY THROUGH VARIOUS COMMUNITY-BASED SERVICES PROGRAMS, PROVIDING HEALTH EQUIPMENT IN AREA SCHOOLS, AND COMMUNITY PROGRAMS AND EDUCATION. A NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. 1 SIDNEY CHAMBER OF COMMERCE 909 S CENTRAL AVE SIDNEY MT 59270 810214807 501(C)(6) 5250 0 N/A N/A PROGRAM SUPPORT 0 1 CHARITY CARE 506 1886431 0 N/A N/A PART I, LINE 2: SIDNEY HEALTH CENTER CONFIRMS THAT EACH RECIPIENT ORGANIZATION IS A QUALIFIED GOVERNMENT OR CHARITY ORGANIZATION. CONTRIBUTED FUNDS ARE INTENDED FOR GENERAL OPERATING SUPPORT, SO SIDNEY HEALTH CENTER DOES NOT CONDUCT ANY FOLLOW-UP MONITORING ACTIVITIES. SIDNEY HEALTH CENTER DOES NOT PROVIDE CASH ASSISTANCE TO INDIVIDUALS. RATHER THAN GIVING CASH OR NON-CASH ITEMS TO INDIVIDUALS, SIDNEY HEALTH CENTER PROVIDES DISCOUNTS ON ITS SERVICES, IN THE FORM OF CHARITY CARE, TO INDIVIDUALS WHO MEET SPECIFIED ELIGIBILITY CRITERIA. SIDNEY HEALTH CENTER PROVIDES CARE, WITHOUT CHARGE, TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY. KEY ELEMENTS USED TO DETERMINE ELIGIBILITY INCLUDE A PATIENT'S DEMONSTRATED INABILITY TO PAY BASED ON FAMILY SIZE AND HOUSEHOLD INCOME RELATED TO FEDERAL INCOME POVERTY GUIDELINES. SIDNEY HEALTH CENTER'S CHARITY CARE GUIDELINES PROVIDE FOR FREE CARE TO THOSE RANGING UP TO AND EXCEEDING 200% OF THE FEDERAL POVERTY LEVEL. SIDNEY HEALTH CENTER'S CHARITY CARE GUIDELINES PROVIDE FOR REDUCED-COST CARE FOR THOSE RANGING FROM 201 % TO 399% OF THE FEDERAL POVERTY LEVEL. PATIENTS WITH INCOME OVER 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR INTEREST FREE PAYMENTS FOR UP TO 36 MONTHS. X 1 1 X X 0 0 0 1 0 1 0 0 0 RAJOHN KARANJAI MD TRUSTEE/CMO 1299401 0 0 0 0 0 0 0 0 0 1299401 0 0 0 LESZEK JASZCZAK MD FORMER TRUSTEE/CMO 652328 0 0 0 0 0 6000 0 27438 0 685766 0 0 0 ERIC SIGMOND MD PHYSICIAN 604246 0 50 0 0 0 9900 0 36315 0 650511 0 0 0 MALUA TAMBI MD CHIEF OF MEDICAL STAFF 540346 0 20000 0 0 0 9900 0 35632 0 605878 0 0 0 JEROME KESSLER MD PHYSICIAN 556898 0 10150 0 0 0 9900 0 27438 0 604386 0 0 0 JOHN MORGAN MD PHYSICIAN 576842 0 0 0 0 0 9900 0 4408 0 591150 0 0 0 PETER DEVEAUX MD PHYSICIAN 538026 0 25 0 0 0 9900 0 38682 0 586633 0 0 0 CHAD PEDERSON MD PHYSICIAN 499633 0 100 0 0 0 9900 0 17169 0 526802 0 0 0 HERVE NGUEWOUN MD VICE CHIEF OF STAFF 486522 0 20000 0 0 0 9900 0 1949 0 518371 0 0 0 JEN DOTY CEO 328494 0 250 0 0 0 9900 0 24909 0 363553 0 0 0 TINA MONTGOMERY CFO 200129 0 250 0 0 0 6155 0 20270 0 226804 0 0 0 PART I, LINE 1A ERIC SIGMOND RECEIVED A HOUSING ALLOWANCE OF $14,400. JOHN MORGAN RECEIVED A HOUSING ALLOWANCE OF $30,840. THESE AMOUNTS WERE INCLUDED IN TAXABLE INCOME. PART I, LINE 5 PHYSICIANS RECEIVE BONUSES BASED ON PRODUCTIVITY, AMONG OTHER FACTORS. PRODUCTIVITY IS CLOSELY CONNECTED WITH REVENUES. PART I, LINE 6 FOR THE EXECUTIVES, ANNUAL RAISES ARE BASED ON MEETING ORGANIZATIONAL GOALS RELATED TO VARIOUS FACTORS INCLUDING EMPLOYEE RETENTION, PATIENT SATISFACTION, QUALITY METRICS, AND OPERATING MARGIN. A RICHLAND COUNTY 816001419 2011-09-15 24370000 REDEEMING AND RETIRING PREVIOUSLY ISSUED DEBT (2006, 2007A AND 2007B) 0 0 0 B RICHLAND COUNTY 816001419 2018-01-09 5700000 HOSPITAL CAPITAL IMPROVEMENTS 0 0 0 A 12630000 24370000 233683 137747 23998570 2012 1 0 1 1 B 2287000 5700000 5700000 2018 0 0 1 1 A 1 0 0 0 0 0 0 B 1 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 0 1 1 1 US BANK 3.800000000000 0 0 0 0 0 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: ISSUER NAME: RICHLAND COUNTY, MT DATE THE REBATE COMPUTATION WAS PERFORMED: 12/23/2022 ROBERT MONTGOMERY SPOUSE OF TINA MONTGOMERY, CFO 57426 EMPLOYEE COMPENSATION 0 SEAN MONTGOMERY CHILD OF TINA MONTGOMERY, CFO 50750 EMPLOYEE COMPENSATION 0 SCOTT DOTY SPOUSE OF JEN DOTY, CEO 86793 EMPLOYEE COMPENSATION 0 NANCY STEFFAN MOTHER OF JEN DOTY, CEO 42046 EMPLOYEE COMPENSATION 0 TIFFANY STEFFAN SISTER-IN-LAW OF JEN DOTY, CEO 69726 EMPLOYEE COMPENSATION 0 SUSAN VANEVERY DAUGHTER-IN-LAW OF CHERYL VANEVERY 22784 EMPLOYEE COMPENSATION 0 FORM 990, PART III, LINE 2 1. UROLOGY-SIDNEY HEALTH CENTER HAS PARTNERED WITH VIRTUCARE, TO IMPROVE ACCESS TO PREMIER UROLOGIC CARE FOR RESIDENTS LIVING IN THE MONDAK REGION. 2. HYPERBARIC CHAMBER/WOUND CARE DEPARTMENT. 3. PELVIC THERAPY THROUGH PHYSICAL THERAPY. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND ONE OTHER MEMBER OF THE BOARD APPOINTED BY THE PRESIDENT. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE ARTICLES OF INCORPORATION, BYLAWS AND STATE POLICIES. ANY OFFICIAL ACTION TAKEN BY THE EXECUTIVE COMMITTEE IS SUBMITTED TO THE BOARD FOR RATIFICATION AT THE NEXT BOARD MEETING. FORM 990, PART VI, SECTION A, LINE 6 NATURAL PERSONS, CORPORATIONS, OR UNINCORPORATED ASSOCIATIONS MAY BECOME MEMBERS OF SIDNEY HEALTH CENTER BY: A. PAYMENT TO SIDNEY HEALTH CENTER A SUM OF NOT LESS THAN $100 CASH OR BY AN EQUIVALENT CONTRIBUTION OR METHOD AS APPROVED BY THE BOARD; B. RESIDING IN OR HAVING ITS PRINCIPAL PLACES OF BUSINESS IN THE SERVICE AREA OF SIDNEY HEALTH CENTER; AND C. AGREEING TO BE BOUND BY THE BYLAWS OF SIDNEY HEALTH CENTER. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF DIRECTORS IS HELD AT THE ANNUAL MEETING OF THE MEMBERS BY WRITTEN BALLOT LISTING THE CANDIDATES NOMINATED BY THE NOMINATING COMMITTEE OF THE MEMBERS. EACH MEMBER OF SIDNEY HEALTH CENTER, PRESENT IN PERSON OR BY PROXY, IS ENTITLED TO VOTE FOR ONE CANDIDATE FOR EACH DIRECTOR VACANCY TO BE FILLED. THE CANDIDATES RECEIVING THE HIGHEST NUMBER OF VOTES AT THE MEETING ARE CONSIDERED ELECTED AS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B ANY PROPOSED AMENDMENTS APPROVED BY THE BOARD OR BY VERIFIED PETITION TO THE ARTICLES OF INCORPORATION OR BYLAWS SHALL BE SUBMITTED FOR VOTE BY THE MEMBERS AT THE NEXT SPECIAL OR ANNUAL MEMBERSHIP MEETING. FORM 990, PART VI, SECTION B, LINE 11B BEFORE IT WAS FILED, THE FORM 990 WAS REVIEWED BY THE FINANCE DIRECTOR, CFO AND CEO. THE CEO AND CFO WILL REVIEW THE COMPLETED FORM 990 WITH THE BOARD OF DIRECTORS AT THEIR NEXT SCHEDULED MEETING AFTER THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY OF THE CORPORATION IS TO REQUIRE THAT EACH INDIVIDUAL SUBJECT TO THIS POLICY STATEMENT PROMPTLY AND FULLY DISCLOSE ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST, AND THAT THE CORPORATION WILL NOT ENGAGE IN ANY CONTRACT, TRANSACTION, OR ARRANGEMENT INVOLVING A CONFLICT OF INTEREST UNLESS THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS (ACTING AT A DULY CONSTITUTED MEETING THEREOF) DETERMINE BY A MAJORITY VOTE THAT APPROPRIATE SAFEGUARDS TO PROTECT THE CHARITABLE MISSION OF THE CORPORATION HAVE BEEN IMPLEMENTED. A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED ANNUALLY TO ALL INTERESTED PERSONS (BOARD MEMBERS, OFFICERS, AND COMMITTEE MEMBERS). AN INTERESTED PERSON HAS A CONTINUING OBLIGATION TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST HE/SHE MAY HAVE. "DISCLOSURE" MEANS PROMPTLY PROVIDING A WRITTEN DESCRIPTION OF THE MATERIAL FACTS OF THE ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST TO THE EXECUTIVE COMMITTEE ON THE CONFLICTS-OF-INTEREST QUESTIONNAIRE. SUCH DISCLOSURE SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT, OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION, OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. AT ANY TIME THAT AN ACTUAL, APPARENT, OR A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED TO THE BOARD OF DIRECTORS, WHETHER THROUGH THE VOLUNTARY SUBMISSION OF A DISCLOSURE STATEMENT BY AN INTERESTED PERSON, OR BY A DISCLOSURE BY A PERSON OTHER THAN THE SUBJECT INTERESTED PERSON, THE EXECUTIVE COMMITTEE SHALL REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON SHALL NOT BE PRESENT DURING ANY MEETING IN WHICH THE EXECUTIVE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. THE EXECUTIVE COMMITTEE MAY REQUEST ADDITIONAL INFORMATION FROM ALL REASONABLE SOURCES AND MAY INVOLVE THE GENERAL COUNSEL IN ITS DELIBERATIONS. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, EXECUTIVE COMMITTEE SHALL MAKE A FINDING AS TO WHETHER A CONFLICT OF INTEREST INDEED EXISTS, AND SHALL FORWARD THAT FINDING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND VOTE. ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE SUBJECT INTERESTED PERSON MAY NOT BE PRESENT WHEN THIS VOTE IS TAKEN. ONCE THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS HAVE DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO A PARTICULAR TRANSACTION OR ARRANGEMENT: (I) THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER THE CORPORATION COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, SHALL APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT. (II) IN CONSIDERING WHETHER TO ENTER INTO THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT, THE BOARD OF DIRECTORS MAY APPROVE SUCH A CONTRACT, TRANSACTION, OR ARRANGEMENT ONLY IF THE DISINTERESTED DIRECTORS DETERMINE BY A MAJORITY VOTE THAT: (A) THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTERESTS AND FOR THE CORPORATION'S OWN BENEFIT; AND (B) THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION, TAKING INTO ACCOUNT, AMONG OTHER RELEVANT FACTORS, WHETHER THE CORPORATION COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION, OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. (III) THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS MAY, IN THEIR DISCRETION, REQUIRE THE INTERESTED PERSON TO LEAVE THE ROOM WHILE THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT IS DISCUSSED. THE INTERESTED PERSON SHALL LEAVE THE ROOM WHILE THE MATTER IS VOTED ON AND ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES SALARIES USING THE MHA SALARY SURVEY FOR MARKET INFORMATION AND ALSO PERFORMS A WRITTEN EVALUATION ANNUALLY. ADDITIONALLY, THE CEO USES MHA MANAGEMENT SURVEY, AS WELL AS OTHER COMPENSATION SURVEYS, TO DETERMINE ANNUAL PAY INCREASES FOR ADMINISTRATION. A WRITTEN EVALUATION IS PERFORMED. ALL ESTIMATED ANNUAL INCREASES ARE INCLUDED IN THE BUDGET, WHICH IS APPROVED BY THE BOARD OF DIRECTORS. THIS PROCEDURE WAS LAST PERFORMED IN JUNE OF 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 20,578,207. MANAGEMENT AND GENERAL EXPENSES 2,006,751. FUNDRAISING EXPENSES 27,794. TOTAL EXPENSES 22,612,752. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION -795,492. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -233,483. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. LONE TREE SENIOR LIVING 1015 7TH AVE SW SIDNEY MT 59270 810518821 ASSISTED LIVING MT 501(C)(3) LINE 10 SIDNEY HEALTH CENTER 1 FOUNDATION FOR COMMUNITY CARE OF RICHLAND COUNTY 221 2ND ST NW SIDNEY MT 59270 810417465 FUNDRAISING MT 501(C)(3) LINE 12A, I SIDNEY HEALTH CENTER 1 SHC 2021 LLC 1429 KINGS VIEW DRIVE GRAND FORKS ND 58201 863920806 AIR AMBULANCE ND N/A RELATED 828701 2253253 0 184002 0 0.49000 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 LONE TREE SENIOR LIVING A 34984 CONTRACTED INTEREST RATE FOUNDATION FOR COMMUNITY CARE OF RICHLAND COUNTY C 2602167 CASH LONE TREE SENIOR LIVING L 184336 FAIR MARKET VALUE